My aunt had surgery about a year ago, and our family paid out quite a bit of money to everyone involved in her surgery. On top of the normal fees, we gave the surgeon, first assist, second assist, anesthesiologist, and even the secretary large sums of money.
When my mother told me about this, I was shocked. "Why?" I asked. You'll have to understand that my family in China, while well off, has never participated in the cycles of alleged corruption. In fact, my uncle rejects so many bribes (gifts from business interactions) to the point that people have started leaving gifts anonymously at my grandmother's door.
Yet, this wasn't about getting ahead in life. My mother told me, "we just want to make sure they have an incentive to do the best job they can." Honestly, I don't blame her. We didn't pay to skip a line, and we didn't pay for any organs (not that type of surgery anyway). We paid the people involved because we felt it would inspire them to do a better job.
Is that wrong? Maybe. I don't really know anymore.